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Get FL APD Direct Deposit Form Sample 2010-2024

Ection. 2. Complete the Direct Deposit section to specify where you want your pay deposited. 3. Sign at the bottom of the form. 4. Retain a copy of this form. 5. Give to Participant or Participant s Representative. 6. If this form is for the Participant or Participant s Representative, it should be submitted with the initial enrollment forms. If it is sent later, mail it direct to CDC+ at the address below. 7. If this form is for a provider, it should be submitted with the initial provider.

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